Guardian Pharmacy of Arizona, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

Y03869 Issued in AZ

Legal business name

GUARDIAN PHARMACY OF ARIZONA, LLC

Doing business as

Salibas Extended Care Pharmacy

Practice address

925 E Covey LN
Phoenix, AZ 85024-5674

Phone

(623) 815-8965

Fax

(623) 815-1222

NPI assigned

Oct 26, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John D Saliba, RPH

Title

President

Phone

(623) 815-8965

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Salibas Extended Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Guardian Pharmacy of Arizona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guardian Pharmacy of Arizona, LLC

  • Long Term Care Pharmacy
  • Oro Valley, AZ
  • NPI 1437443975
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Guardian Pharmacy of Tucson LLC

  • Long Term Care Pharmacy
  • Oro Valley, AZ
  • NPI 1235565581

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Crapo

  • Geriatric Pharmacist
  • Phoenix, AZ
  • NPI 1477208767
  NPD
• Richard England III, PHARM D.

  • Pharmacist
  • Phoenix, AZ
  • NPI 1700255494
  NPD
• Sammi Hua, PHARMD

  • Pharmacist
  • Phoenix, AZ
  • NPI 1013795145
  NPD
• Brandon Anthony Koolick, PHARM.D.

  • Pharmacist
  • Phoenix, AZ
  • NPI 1255953501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1598755944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF ARIZONA DEPT 2370",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462370",
            "telephone_number": "404-810-0089",
            "fax_number": "404-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E COVEY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245674",
            "telephone_number": "623-815-8965",
            "fax_number": "623-815-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21025 North 8th Way Bldg 8",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85024",
            "country_code": "US",
            "telephone_number": "623-815-8965",
            "fax_number": "623-815-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "SALIBA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-815-8965",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AZ",
            "license": "Y03869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478934",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZATION",
            "identifier": "Z90476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salibas Extended Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salibas Extended Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Miriam Guarino, ANP-C
• Richard Anthony Guarino, D.C.
• David Michael Guarnieri, MD
• Kathleen Maria Guarnieri, MD

• Long Term Care Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.